Kristin Marie Ash Andraka, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501014187 Issued in MI

Practice address

1627 E Broomfield St
Mount Pleasant, MI 48858-5429

Phone

(989) 779-9988

NPI assigned

Dec 19, 2006

Last updated

Sep 16, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1831252774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 EASTPOINTE DR",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488584347",
            "telephone_number": "989-954-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 E BROOMFIELD ST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488585429",
            "telephone_number": "989-779-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRAKA",
        "first_name": "KRISTIN",
        "middle_name": "MARIE ASH",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "981375",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "6269",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Danielle Amon
• Carla Marie Anderson, ND
• Kimberly Ruth Anderson, R.N., C-FNP
• Lisa L Anderson, LPC
• John M Andraka, DPT
• Jeffrey Joseph Angera, PH.D.
• Angul Corp
• Angelina Alexis Ankawi
• Annu Mohan MD PLLC
• Sara Araway

• Physical Therapist in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.